Healthcare Provider Details

I. General information

NPI: 1528997228
Provider Name (Legal Business Name): WILLIAM DOUGLAS KEMPER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 S MERIDIAN RD STE 24
MERIDIAN ID
83642-2900
US

IV. Provider business mailing address

1817 E PINERIDGE DR
BOISE ID
83716-6621
US

V. Phone/Fax

Practice location:
  • Phone: 208-941-5435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: